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1295888170
ELLYCE JOHNSON
BALTIMORE, MD
NPI
1295888170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD c0002576)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- ELLYCE JOHNSON
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3200
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Mailing Address
-- ELLYCE JOHNSON
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3200
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